| NPI | 1699130716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALAZZO Vice President Of Finance 251-435-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2019-08-26 |